DECEMBER 7 2017 BUILD APPS:,
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPE. RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROJECT
"Proiect Responsibility''
totliE8t?
Application
Numb€r
(office use)
--r
BLDG LICENSE 8
APPLICANT'S NAME:
PROJECT ADDRESS:)o
Dr.vtl 9ft,'u.
lac0..
Date ti lzt 117
ztPt Z-?\ ll
LOT #
PHONE #qF 352 qst?
clrY: I^)l|I;]C{d41
-zte,z340\
L
,t
CITY
CITY
PROPERTY OWNER,S NAME:
OWNER,S ADDRESS:L
CONTRACTOR
ADDRESS:J
EMAIL ADDRESS:
PROJECT CONTACT PERSON
SUBDIVISION:
Description of Work:
(YLb
sr: L)LztP
PHONE: t,6 3cg zqz+
PHONE 0 z9L7
EXISTING CONSTRUCTION: E Alteration E Renovation E General Repairs
NEW CONSTRUCTIOru:! frect t,tew Residence ! Addition to Existing Residence n Relocation
.**PLEASE CHECK AND ANSWER BEtO ALt THAT APPLY TO YOUR PROJECTTI'}
p an Garage (sr)
tr Su nroom (SF)
E Greenhouse (sF)_
Property Use/ Occupancy
fr Deck (SF)rYV
! eorch(sr)35
n Storage Shed (SF)_
! other (sF)
5oZ
ls the proposed work changing the existing footprint? n Yes n No
lstheproposedworkchangingthenumberof bedrooms? D yes E t,to
ls any Electrical, Plumbing or Mechanical work bein8 done to the Accessory Structure E Yes E No
lf the pro.iect isa Relocation, istherea Natural Gas Line on the current site? E Yes E No
ls there Electrical Power on this Building? E Yes E No
29HoV l? 2ii3Pri
( sincle ramily E ouplet E Townhouse r. ', ..-,fli^ "' -'i';';'+-, ;;2, <iaqLc lnra", lL rg 5 tdttfi G.-IY
laws and ordinances and regulations. The NHC Developme nt Services Center wallbe notified ofanychanges in lhe approved plans and specification5 or change in contractor
information. ++*NOTE: Any work performed without the appropriate permits will be in violation of the N I Code and s ject to fines up
Owner/Contractor:
"Licensed QuoIifier"
DA,t bt fL. f,q*l Signature:T Prrt Nr.,
ls the property located in a floodplain? tr V"rrffrtro
Existing lmpervious Area:Sq Ft
Sq FtNew lmpervious Area:Z,'l LL Existing Land Disturbing Permit: n Yes E No
CFPUA tr Community System El Private Well E Central well D Aqua
cFPUA ! communitysystem E Private septic E Central septic E aqua
WATER:
SEWER:
X
X,
zone: _ officer:
-
setbacks (F)
-
(tH)
-
(RH)
-
(B)
-Approval:
-
City:
-
Date:
-
Flood: (Al
-
(v)
-
(N)
-
BFE+2ft=
-Comment: Permit Fee: S
E Det Garage (SF)
tr Pool (SF)_
ToTAL sQ FT uNDE RRooF lfor proposea *orf1 aeatea, Zl 9 /5 unn "t"a, 9 '/ 3
roral PRoJEcr cosr (Less Lo$: S Z7-Ol 0Od
rotarAcresDisturb "ot 8, lL{ S-{
\uo [r1n-(_ *
ffi
Clear Form Print
NEW HANOVER COUNW BUILDING PERMIT
APPLICATtON TYPE : RESIDENTIAt
PTEASE ANSWER ALL QUESTIONS APPLICABI.E TO YOUR PRO.JECT
"Proiect Respon3ibiliV'
0-3uot?;lme*l
Applicatioo
AppL1CANT,S NAME: Patrick lvlills Date' 29Nov2O17
pROJECT ADDRESS: 1502 Dock St C|TY. Wilminglon 71p.28401
pROpERTy OWNER,S 1r14p1g; Bob Addie Enterprises LLC
OWNER,S ADDRESS: PO Box 2456
pHgng 4. 202491 -7794
CtTy Wilminglon 71p. 284O1
ADDRESS. 3i6 Red Cross St oTy. Wilminglon 91. NC 21p. 28401
EMATL ADDRESS: patrick@bobaddieenleerises.us pHONE. 202-491-7794
pROJECT CONTACT pgp5g1. Patrick Mills pggn2. 202-491-7794
EXISTING CONSTRUCTIONT ! Alteration C Renovation = General Repairs
NEWCONSTRUCT|ONiCErectNewResidenceEAdditiontoExistingResidenceIRelocation
r*.PLEA5E CHECX AND ANSWER SELOW ALL THAT APPI,Y TO YOUR PROJECT* ..
D AftGarage(SF)_ n 0etcarage(SF)_ E Porch (SF)319
! sunroom (sF)_
E Greenhouse (sF)_
! Pool(SF)
tr Deck (SF)
tr Storage Shed (SF)_
tr Other (5F)
ls the proposed work changing the existing footprint? E yu, A'No
TOTAI Sq FT UNDER ROOF lfot ptoposed workl 11"11"6. 1418
TOTAI PROJECT COST (Less Lot):S 22,000
ls the proposed work changing the number of bedrooms? E Yes E ttto
lsanyElectrical,PlumbinSorMechanicalworkbeingdonetotheAccessoryStructureEYesENo
lfthe pro.iect isa Relocation, istherea Natural Gas Line on the cu rrent site? E Yes E No
ls there Electrical Power on this Building? E Yes E No
Property Use/ occupancy: E single Famlly E Duplex E Townhouse
Description of Work: Kitch6n, Bathroorns, livirE area repair and update hvv ac-AD€ >
O|SC|,A|MER: I h€reby certify th.t allth€ inforhation in thisapplication is correct and allwork willcomplywith the State 8u Code and all oth€r a pplicable State and local
s and specifications orchange in aonlradorlawsand ordinances and retulations.Ihe NtlC Development S€rvi€es centerwillbe notifred ofanychan8es in the
information. "'NOTETAnywork performed withoutthe appropriate pe.matswillbe in violation of the t'/C Stat€and subj€ct to fine, up to Ssm.oo"'
owner/Contractor: Patrick Mills Signature:
"Licensed Quolifie/
ls the property located in a floodplain? El Yes
ExistinS lmpervious Area! _ Sq Ft
New lmpervious Arca: _ 59 Ft
fi
Total Acres Disturbedr
WAIER: fl cF
SEWER: C CF
zon",l. - 5
PUA E community System E
PUA El community System E
cer:
Exining Land Disturblng Permit: E Yes E No
Private well D Gntralwell E Aqua
Private Septlc E centralseptic E Aqua
X t*t X,*rt X oX
Approval:Clty:;Lu-- 931s;)1 ]bod'
-
(v)
-
(N) X art+zt.
-fr,-Comment:N)ln,)Permit Fee: S
[LAw. ts.,A-tl b{\xx
n
fgat)o^o (.tLLt(1 A D,(1r,tt(
s0rn
Crii; inpectron Requreo, gi.u-254 )]ii:
SUBDIVISION: LOT f: _
6911pag1gp. Palrick Mills BIDG LTCENSE #:
Unheated: 319
N ltot- \
7
;
2ot1-lffr@,'J"*-3M)
Application
Number
(office use)
nl,lrl
1
NEW HANOVER COUNW BUILDING PERMIT
APPLICATION TYPE: RESIDENTIAL
PLEASE ANSWER ALL qUESTIONS APPLICABLE TO YOUR PROIECT
"Projed Responsibilit/'
Stevens HomesAPPLICANT'S NAME;
PROJECT ADDRESS:
suBDtvtstop: Tralee Place
t an tr
Date:
ow: Mlmington ZIP:. 28409
LOT #:3o
pRopERTy owNER,s NAME. Stevens Fine Homes
OWNER'S AITDRESS: 5710 Drive Suite 2oo
PHONE #. 910-794-8699
ctw: Wilmington ztp. 28403
ucENsE r. 31626
sT. NC Ztp. 28403
EMAtt ADDREss: snicholson@stevensfinehomes.com PHON E:
pROJECT CONTACT pgX56p. Staci Nicholson PHO|{E. 910-332-85$
EXISTING CONSTRUCTION: ! Alteration ! Renovation E General Repairs
NEW COiISTRUCTION: E Erect New Residence ! Addition to Existing Residence E Relocation
'**PIEASE CHECK AND ANSWER EEIOW AI.L THAT APPTY TO YOUR PROJECT***
d Aft Garage (SF)b0 tr Det Garage (SF)_l-! Porch (SF)
! sunroom (sF)_
E Greenhouse (sF)
tr Pool (SF)n Storage Shed (SF)--
ls the proposed work changing the existing footprint? n yes d t,to
TOTAT Sq FT UNDERROOF lfor proposed workl Heahd:t$ b{Unheated:
TOTAL PROJECT COST (Less Lot): S 12O,OOO
lsthe proposed work changing the number of bedrooms? E Yes El No
lsanyElectrical,PlumbingorMechanicalworkbeingdonetotheAccessoryStructureEYesd o
lf the project isa Relocation, istherea NaturalGas Line on the current site? E Yes EI lto
lsthere Eledrical Poweronthis Euilding? [ Yes E No
Property Use/ Occupancy: E single Family D ouplex E Townhouse
residential single family home.
Owne/contractor:lilichael Crniq trkteno Signatu re:
'Licensed Quolifie/' Pint No."
lsthepropertylocatedinafloodplain? D Ves d m
Existing lmpervious 7r.., 15 0'9 qn I
TotalAcres Oisturbed:lo
New lmpervious Area:eSlt SC Ft Existing Land Disturbing Permit: tr ves d xo
WATER: E CFPUA n community System E Private well I central well d lqua
sEwER: d CFPUA tr community system E Private septic E central septic E Aqua
zone:
-
officer:
-
setbacks (F)
-
(tH)
-
(RH)
-
(8)
-Approval:
-
c.ty:
-
Date:
-
Flood: (Al
-
(Vl
-
(N)
-
BFE+zft=
-Comment: Permit Fee:s
Description of work:New
information. "iNOTEi Anywork p€rformed wathout the appropriate permits willbe in violation ofthe NC State and subject to fines up to 5500.00.*.
DISCLAIM€R: lhereby certify that ellthe information in this epplication is correct end ellwork willcompvwith the State Euilding Code and all other a pplica bl€ State and local
laws and ordinances and regulations. The NHC Development Services Centerwillbe notified of anychanSes in the approved plans and specifications orchan8e in contractor
rs.u,
! Deck (SF)_n Other (sF) _
2ot-l
fppfodqr
ilqnt .
t treC t; t rZJpr
ilR.I, HATIOVER q,UilTY BUITDII{G PERMTT
APP, lCAtfr N f W: nEfl DEITIIAIru sE Ar(stvB ruq.rE5lpi6 Af"uc Sltloyoui FioJEcI.?i4.Cffi
T/A Starom Fhe lhrpr
rEl
APPUCA'{TS IIA E Slsvsls
PROJECT ADOTESS:
suBDlVlSlot{:Th3 Cr€€k d !!,[ohdck
PROPERTY (,tXiIRS l{ TiE SvBm Bddng Cor?pdtv
oo ll
Ott:Wlrttgb0 IF
tor[:
prcrrt r 9'1G791{699
OWiIER,I ADIRESS:
',10
OLand.r Dri/o Sult6 200 CITY:W&nlmbn ZIP:
COitTR/t'CfiX:SEilsfl. Bt lfig r.D€ rEsrsEr: 31028
ADOiESI:5,10 Oesrbr Ddve $fb ZII OTY:WIn{mtun 5I: NC aps 28403
EMAIL ADDTES:66xa 910.794{@9
PRO'ECT 66SIACT par56fl: Slad t{drEon pHoxE: g1-3i12-8515
Pm'aa l0 o
O sb.r! Sh.d 60
D odl.r{sFl
SIXG CIEIXTCIIOG D Atrdon tr imntbr tr 6.lrd ilp*t
xEW ooItfl,fire , d fr.c f.r f.l"rn tr fddruonb Edrtl. i..arhr tr idqtbo
d Attcar.s60 {3q tr or(lrl: 6Fl_
tr slrn oom (sfl
-
tr PodFl_
tr Gru.nhout (sFl
-
tr Dl.d(sfl_
ls th. proeod ftrt d.d.t th.drfu 6oerfrt? C Vrr d rfo
IoIAL FiOEI 06r [r. lrQ: S]20I9q--
ls th. propo..d uqt dl.qlr5 th nnnberof b.drlomr? tr V.td ffo
lsaryE drt.,l tLmllf orffi lrt b.lf do.r.b b.AEc.aoryStructrc tr Vrr d foFth. p.ojcct ts.ldocdan, ts tt lr. ittrd G.3 ttr on tlrc orrrnt rtti tr y! d fo
ls thr. ELcElc.l toxnr m tfrls tlltq? tr Vr dtc
tPio9..ry Ut./ OEEI* E grr. Hy tr IxIanO T {Er
D..crhdon of Wat:tldt Cqrtuaat
fiuiffi?ilnmf.ll}
DIS(I f,B: I hsrby onfi tha i tll. f&.ttdoi h lrr&.pdLddr L.odrctad dEl,al cc.fayotr 6rab lIdlljCodl.lr, d odrq0qaL Sfrt..rd hc.lLrr &d ordlrrnc.. .nd rtuu('rr TL UIC D.daDrrts.tdc.r C.'ltir t !a nollld olanyCat|.rh phna lld apadcadolB oa
wto l5o.o..'
drorr tn @fitnabahfo.r tb[ "'IOIE: Ary rc,f pdbrttrdldE f fh r]p,or.Lh Flnt3lltr ta ln lrHdclt o,ttr
o|lmrr/Contrrol: Ctdg $tlila Sbmm!
'Ltutt ad Auoflv Pd,tt,&,rrv
lsth! prop€rtyloc.Ed lnefioodphh? tr ycr d rc
Eddrt fttrtabut Ar.., I '10 I sq n Tot l Ac.r Dlttl|]t.d:1ls
Hood:(t|-M-lltl
ta6w lrDanbtl3 f.ta:110l sqR ffi1lrd Dbhaamt g v.r dllc
wArB: d cFPt A EI cormudty Strtlln tr Prh[t wdl tr c. nlwc tr rl|lr
d crpul tr conmu.ity stltan o Prfinb s.pdc tr C.l r.l S.pdc
td w{ oxt 6' Ft
tr Aqlrt'SEI EI
2.*&15- dtutlrb
Approv.l:*vt ll,lYl OtG
P.rdt F-:3
c \
Commant:
Cit; lnspeclion Requreo, 9'l0'254 lltll
Bag+zll-
1
I
iot? lrl lJ
L1=34+2NEI^J HANOVER COUNTY BUILDING PERMIT
APPLICATTON TYPE: R ESIDENTIAL
PLEASE ANSKER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Proj ect Responsibility"
NEW CONSTRUCTION:ERECT NEW RESIDENCE or ADDITION TO EXISTING RESIDENCE
*TPLEASE CHECK ANo ANSWER BELOI,/ ALL THAT APPLY T0 YOUR PROIECT:
ATT GARAGE 18: SF PORCH LSF
APPLICA T'S MllE: Munq: Hcmes cf North Carolina, rn:
DEVELOPER: Mungo Homes of North carclina, rnc PHONE #: tltr 3-22't -8424
PROIECT ADDRESS: 503 B.'li:aY.,. ur,r''l CITY: ltitmir,oton ZIP: 2 841 I
SUBDIVISION : :.-: : .. .: .LOT #:66 t'
PROPERTY O[{NER'S tlAIlE: t{,rnqc Ilor-es oi Ncrth Carolina , lt\c
CONTRACTOR: Munqo Homes of North Carolina, rnc ACCOUNT #:
ADORESS: 2521 Sci.:effelr. Roid CITY: ipe!
EIi4AI L ADDRESS: r,b--rry.anunsc.com (Tabnt-ha u,-r.v)
PROIECT CONTACT PERSON: ::..t. . : i,-, : :,.I PIONE f: I t3-6ai-r):7
EXISTING CONSTRUCTION:ALTE RATION R ENOVATION GENERAL RE PAIRS RE LOCAT ION
DET GARAGE
-
SF
POOL 5FsuNR0011
GR E ENHOUS E
SF STORAGE 5H ED SF
SF
TOTAL HEATED SQ FT:22es TOTAL SQ FT UNDER ROOF: r.r2e TOTAL AREA SQ FT:
TOTAL PROJECT COST lress roe : $ re1123 # OF STORIES: 2
DESCRIPTION OF WORK: lJew Sinqle Famil./ F.asicien..
andordnancesandregulationsTheNHCDevelopmentServicesCenlerwillbenotfiedofanychangesinlheapprcvedplansatdsp€cificaiionsorchanooincontacbror
coniracbr nfo rmaton "'NOTE Any Work Performed W/O he Appropriate Permils wrl be n Violation of lhe NC StaE Bdg Code and Sublect b Fines Up To $500.00,..
OWNER/CONTRACTOR: M..rrqc Homes b,/ K.ltherlne :usk SIGNATURE:Katl\e4.[ttP/ Lu,tk,
(P. int N.me )1.X*****XX*r.1.+*X**,*,i*******t+****+**f*++i++t,*+++++++*+***,t**)t't)r)*,t+*++***,t*,t*t,***,r*:r*,i**,t+
IS THE PROPERTY LOCATED IN A FLOODPLAIN?I
3429
YEs l-"1 ruo
TOTAL ACRES DISTURBED: ]1EXISTING IMPERVIOUS AREA: !
NEI,J II'1P ERVIOUS AREA: :!.:
ZONE: OF F ICE R:
SQ FT
SQ FT EXIST LAND DISTURBING PERMIT:l-1 vrs lTl ruo
WATER:
SEWER:p creun cENTRAL sEprrc ! RRrvare see-rrc
{e*ua Z COI'1I4UNITY SYSTE [,1 PRIVATE WELL I CENTRAL WELL
COMMUNITY 5Y5TET4
*** SEPARATE PERI"IITS REQUIRED FOR ELECT, IVIECH, PLBG, GAS EQUIP, PREFABS & INSERTS ***
PAYMENT ttETHoD: I clsx CHECK (pAYAELE rO NHc) EBrLL Accour{r I nclvrsn I orscoven
++***tr****1.r.,*i.*,**,t+lr+*********r(*r(r(r(+i.+++1ri(r:*+++****+**r.**r(****r.r.r.**r(r(i(i(***r(*******)*****r(
(FOR OFFICE USE ONLY) REVI5EO DATE O4l11l].2
SETBACKS: F:_ LH:_ RH:_ B:_
Approval:- Clty:- DATE:- FLOoD: - , , BFE+2ft=
I
APPLICATION
Number
(o+fice Use)
DATE: r rr :-r'
BLoCK #: il-!.
PHONE #: 8iJ 2)t-812 t-
ST: ---:j__ ZIP: j_:---:_
PHONE #: t, ), )2 t bAZ t-
OUJNER'S ADDRESS: -a: :i:.:! :!,,r : ..:i CITY: .'.:::.: ST:-.I._ZIP:: i
LICENSE #: IiJI,5
sF ! oecx SF OTHE R:
Is Any ELECTRICAL, PLUMBTNG on MECHA{fCAL Work Being Done to the Accessory Structure? ! V"r [ ruo
If the project is a Relocation, is there a Naturat Gas Line on the cunnent Site? [ ves I uo
Is there Electrical Power on this Building? l--'l y"t l-l ruo
PROPERTY USE / OCCUPANCY: I STruCII FAMILY E DUPTEX E TOWNHOUSE
Claar Form Prlnt
NEt^l HANOVER COUNTY BUILDING PER|,IIT
APPLIcAfIolt rYPE: C0III/IERCIAL
PTEASE AI{STER ALL QUESTIO{S APPLICAELE TO YOUR PRO]ECT
"ProJect Responsiblllty"
2otl-rlt )
A-PPLrcATro
Number
(offi(e Use)
APPLICA T' S WE I rr1o..^ Bros . . lnc .- OATE :1A/6/1,1
OEVELOPER:
PRO]ECT
PHONE *:
230 Old Eastwood Road wilminoton ZIP: -",^.
OCCUPAT{T/EUSIIIESS WE i rexas noadi,ousc
PR@ERW Otl{ERr 5 tt^l4E: r.x-" R rlh<,use Holdin I,LC PHO E $:
ST:CITY:otl{ER'S ADORESSi 546C Drt.h...,,s parkrrav
CO TRACTOf,: rnoram Bros._ rnc.
AITI)RESS: i?oG castle srreer
LICENSE *: --,-^
ztP:KY 412C 5
ST: Nc ZIP: 28403PH E s3 gro loz, segs
PHO{E #: sto_.l52-9695
Lou-isvilie
Cr : wi r*i.,or,',,'
PROIECT CoiITACT PERSOI{: Dale Albrecirt
(Check Alr That Apply)
EXIST Cq{STRUCTION:ALTERATION
lf Relocation, is lhere a Natutal Gas Line on the
T-'I RENOVATIOI{ T-'I GE ERAL REPAIRS T-] R
bJnentsrter ; *J6-r.r. rsBLDGsph/NK
ELOCATION
LERED'{-_ Yeslf-
E FAsr rRAc( fl SHELL E uprrr AID TO EXIST STRUCTURE
Not{El{ CONSTRUCTIOT{: - ERECT EII STRUCTUREt-J
ACCCSSORY STRUCTURE:
If UPFIT - The Shell Permit *:Is Elect Porer on this Building l-. Yes rN0....* rs THrs A cHAt{GE OF OCCUPAT{CY USE?r YES l-. nO .-...
IF Yes, yhat ras the Pravl,ous (kcupancy T)De? _ t{hat is the taar (kcupancy
TvDe?
ARCH DESIGI{ PROFESSIOTIAT :. PH:
E[{GR DESIGI{ PROFESSIOTTAL:-
DESCRIPTIOT{ OF }'loRK: rnstat_L 16,x2 26,
TOTAL PROJECT COST: $a6.676.00 BUILDING HEIGHT:# OF UNITS:
TOTAL AREA SQ FT : t+ I b SO FT PER FLR
ls food or beverages Fepared or served in this struc{ure?lf- Yef _ tto ls The Property Located ln The Floodplaln{i_ Vef _
OWNER/CONTRACTOR: Dale A I brecl,r SIGNATURE:
(Oisrna) (ftd N.rc)
Nde: Dorndidio.| notifcations E asbestos Emoval plrmit applicatims ar6 lo be submltted using the apdicalion fqm (DHHS-3768) whather th€ tacility or
re-enoineered al-uminum canoDv on back o buildlnq -
cotriain A6b66los or nol. You ,r€ rcguirod to call the Natjrrnal Emission Standards lor Hatrardous Ar Pollulants (NESHAP) at (919)707-5950 at teest 10 days
derndlion ot any fullty d boldlhg- See Asbestoc Web Sile: htp /Al/ww.cpi.stare nc us/epi/asbestos"/ahmp hiint l00cT 1? I I r t?Ftt
# OF STORIES
# OF FLOORS:TOTAL SQ FT UNDER ROOF # OF STRUCTURES
ACRES DISTURBED: O EXST LAND DISTURBING PERMIT? I YES J- NO
NEW IMPERVIOUS AREAI SQ FT EXISTING IMPERVIOUS AREA:
PRoPERTY USE: floFFlcE RESTAURANT E MERCANTILE TL EDUq-IAPT CONDO OTHET
SQ FT
WATER:
SEWER:
SYSTEM
CFPUA
CFPUA
.,. s
E
COMMUNIW SYST
CENTRAL SEPTIC
EM T1 WELL T-'I 2ONING U3 Fn{varr sEPrc E?oMMUNrry
SE CLASSIFICATION
EPARATE PERMITS REOUIRED FOR ELECT, MECH, PLBG, GAS EOUIP. PREFABS & INSERTS
PAYMENT METHOD:f cAsH f cHEcK (PAYABLE To NHc) f_ An ERtcAN EXPRESS [-_ rrlcnrrse f-_ orscoven
(FOR OFFICE USE ONLY)ZONE: OFFICER:Approval:_ City: DATE_ FLOOD:_ BFE+m,_AVNComment pERMIT FEE: r'
I(;\
)9
,/
Elit'llrL aIxxEsS: pro iect sG inqiarnbros. net
NC REG S:
PH:- I{c REG #:-
SETBACKS: F: LH _ RH_ B__
,$q NEtrl HANOVER COUNTY BUILDINE PERMIT
APPLIcArtott rYPf I C0llr'tERCIAL
Ptc^tt lnsllta ALL Qu€sTIo&3 ArFlt(ABt[ To Yd.,,R r&9]lcT
"ProJect Re!poniibllltF
/\j
AFF[ItAf-ror,{
iluilber
{otfl(. us.)
APPLICAIT,S t{ IE: r-:_r, Ei.x-q-, rnc.OATE:rc /6/1.
DEVELOP€R;PNCNE *:
PSOIECT AOOEESS: 2t: oLd En::!...1 ..rr:
OCCUPA$T,/EUSf llESS IAIiE : rexas &o.1 (u:,). se
PROpERTY dr{ER' S l,lA}lE : r,-,.r: ;,, Ro;!.jho s. Hc}.1 j n:.,
dc{ER' S ,rDORiSS: .46tr )1rr.hrnh.s
CITY: --..i inl :ri- c,l :2.t 03
I,I CCITYir.r,.t:r:.1:e
PloatE *:
- LtcEtlsE *: 6:,as
ZIPi,i!4i:tc5
52- zrP: :rr,,:
CSITRACIOR: -.,rtr. n,.s -. rnc.
,ODRESS: ..)0( casi le srr:€er.crw'rir.1","o"
EtlAtL ADORESS: p:...-:t <,1 i nrrrrJ- r- s. n+.
P,IOIECT C0 TACT P€R5Oll: 1.,1. 1167.651
{ah..k All trlt a$ly)
PSE *r gi o lt?- ,css
PIONE *: 1.1-162-"63.
EXIST CC}'.JSTRUCTION:ALTERATXON
li Rlrlocation is lhrre a N3iLrIal Gas Line on the
NoxEr.l ao sTRUCTlotJ:ERECr r.rE* srRucn RE n FAsl rRrcx u SHELL n UeFrr f] iDo ro Exrsr STRUCTURE
ACCESSONY SiRUCTURE:
If UPFIT - The Shell Pe.trit *: Is E1e.t Poxer on this Butlding lf. Yes |- N0
i.r.. r5 rHts A cflr*cE oF o(cuPA,l(Y IJSE? r vES li N0 ..rra
Tl RENovArro l-l
tiirrenr srre? l- vii GEI{ERAL REPAIRS - RELOCATION
li- Ho rs BIDG sphdN(rEREDI-- yeslf-
IF Yes, *lat ,r5 the Palvlou5 occupancy Typa?
IX8fi lorsra* P*orrssro* L:
_ td€t ls the l{er. Oacupency
- pH:NC RlC *:
EIJCI DESIGN PnOF!SSIO'{AL:-pB:- Nc RE6 s
nnc r'xar qs and oro.Eoce! and r.gulatohs n e NqC D8v€hgner{S. c.36..j.ndc 'n conlraCor or rfr)L'rda i4lrrmalB' .''N(]lL'Arly wo.r Ponoft|c,
s :5 Pi la Fm€s Lro Tc 5500 00"'
N€"r^ua*, , *"4, ..*t lh.t sll infodnatjo.! h lhjs ad'E rii:n 6 co.rB€t and all wo* will corply w$ rhc
C&rerY.ill b€ nonlied ot anY
W/O Ac arprgpi.lo P.rnile
OWNER/CONTRACTOR: e.1 . 1, 1,SIGNATURE:
d trrid.y mr hnd ro
,-dlt in rtdrs.lo. o, n l Ycr sr.,.!ud ro ca0 tho.trtqd fntsio Srrddardt It He:..'r&r. Ar Porratrts {,'IESHAP) at €18)707'595to d l. $l t
asydjion !a sr,y fudiiv ., buft,h9- Sca 4$lg{16 Wett Sr!: ,:ap'. /*,{.s?.1'!ilt rY: }nrp,,1s,.1\io,'hnrp h-)|
TOTAL PROJECTCOST: s I s, r:;. oo BUILDING HEIGHT:
-
d OF UNITS
lla"ii] 1i I l:1:|..i
SO FT
T3TAL AREA SQ FT : ti il,
TOTAT SO FT TJNOER ROOF _
ACRES DI$TUREED:
NEW IMPERVIOUS AREA:
* OF STRUCTURES:
EXST LAND DISIURBING PERI ]T?,T YES JX' NO
SO FI EXISTING IMPERVIOUS AREA
MERCANTILE IDU APT CONDO OYHEI
f OF STORIES
f OF FI.OORS
PROPEFTY USE: DOFFICE RESTAURANT
zoNa RB oonc*, iXv
Aoorovali ,.r- Citv DATE
WATER:
SEWER:
SYSTEM
CFPUA
CFPUA
T'] COIVMUNIry SYSTEM T] WELL T1 ZONING US
fl cerurner sEprc I inlvr.tr srprtc DToMMUNTTY
E CLASSIFICATION
FAYt,IENT METI"iOO r- CASH f cliECK (pAYABLE ro NHC) f,AMERICAN EXPRESS f- McTvlsA T -. DlscovER
(roR ofFrcE usE
TBACKS
oNLYI /:f: ZS LHA RHO BE
FLOCD ! 8FE+2fF
Co.1rneot
Uz\t$.u\Crl'r0
N
PERMII FEE: I
2cr-r-llr rga@
a.Clear Form I erint I
DisaRloTi0fi oF l,lORX: r If]il-Gll :r."=.--..gt-.ecre: ":u-i,ur :r-.crv r.:";;r, cr ouird:ao. -
ts tood or beverages p.sparM or $erved in lhis sla,clure?li. Yesl-- No ls The Prorerty Lo.itod ln The Ftoodplainqf- Yed--
Clear Form Print eMa il
2utllal)?
(office use)
3
APPLT.ANTSNAME.D.T', J r Yl "Y'> Ct- t'1 Date: /O - 3c> - /4 lD R o<,,o t fie-<-thaa Rl cm b); li 'qc Jo r't ztPPROJECT AODRESS
suEDtvtstoN:LOT #l
PROPERTY OWNER'S NAME:
OWNER'S ADDRESS
CONTRACTOR
ADDRESS:5
EMAIL AODRESS:
NEW CONSTRUCTION F
PHONE H q/o - 3L'7-/73b
CITY D ,lni,,oo ]a n m, d$4ofI
Dorr', J -T a ba/\
BI.DG LICENSE f !2aa9
ctl,t: L) t lwr .sf I l)L ztP: lg.rc f
PHONE: 4rA -44 ,r/vg
PH}NE: ?D-'t'1? 'qlV?
--J-e_.,.c
5
PRO]ECT CONTACT PERSON
EXISTING CONSTRUCTION: n Alteration ! Renovation E General Repairs
Erect New Residence E Addition to Existing Residence E Relocation
***PLEASE CHECK AND ANSWER BETOW ALL THAT APPTY TO YOUR PROJECTi"T'}
E Det Garage (SF)_N Porch (sF)i5t-
n Sunroom (SF)
tr Att Garage (SF)_
I Greenhouse (5F)
tr Pool (SF)
6 Deck {SF)rtD
ls the proposed work changing the existing tootprint? n Yes n No
ToTAIsqFTUNDER ROOF Vor proposed work) Heated: a65] Unheated
TOTAT PROJECT COST (Less Lot):5 000 o9-
lstheproposedworkchangingthe numberof bedrooms? tr Yes E No
ls a ny Electrical, Plumbing or Mechanical work being done to the Accessory Structu re ! yes fl No
lf the project is a Relocation, is there a Natural cas Line on the current site? ! yes E No
ls there Electrical Power on this Building? n Yes D No
Property Use/ Occupancy:fr Single Family E Duplex Ll Townhouse
Desffiption of Work:
?,ifl01, t? t 2r4sPl't
8",\J De^^.i \\or'n z-
DISCIAIMER: I hereby certify t
laws and ordinances and re8ula
information. "'NOTI: Any wo
information in thls application is correct and all work will .omply with the State Suitdins Code and a other applicable State and tocal
e NHC nter willbe notified ofany changes in the approved plens and specifications or chan8e in contractor
rmits will be in violation of the NC State BldS Code and subiecr to fines up to SS0O.OO'..
Signature:Owner/Contractor:
"Licensed Quolilier"
{*"
TotalAcres Disturbed:Y, ao.
Existing Land Disturbing Permit: [_ yes ! No
WATERT E CFPUA tr Community System E Private Well E Central Well d Aqua
SEWER: ll CFPUA ! Community System D Private Septic ! Central Septic EAqua
Zone: _ Officer: _ Setbacks (F) _ (tH) _ (RHl _ (B) _
Approval: _ City: _ Date: _ Flood: (A) _ (V) _ (N) BFE+2ft=
Comment:Permit Fee: S*DISCLAIMER; SUBI4ITTING THIS APPLICATIoN iYEANS THAT THE SUBMITTAL CHARGE IS NON.REFUNDABLE
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATION TYPEi RESI DENTIAL
PLEASE ANSWER ALT QUESTIONS APPTICABLE TO YOUR PROIECT
"Project Responsibility''
! Storage Shed (SF) _
! Other {sF)_
ls the property located in a floodplain? n Yes
Existing lmpervious Ar"r, D sq rt
Ne$, tmpervious Are". 3A)> sq Ft
NEId HANOVER COUffITY BUILDIhIG PERMIT
AppLaCATroN rypr: R,ESIDENTIAL
PLE4sE ANSIiER ,AIL QUE5IION5 APPIfCABTE TO YOUR PRO]ECT
"prcject nesponsibiEqd
CIry:
BL0CI( il:
5F STORAGE 5HED
SF
&ofl- leI33
APPLTCATION
Ntrnbel'
(offtcc usc)
DAI E:
PHONE #;
7AP:
LOT *:
PHoNE #,+14-4q'll3l
sr:W1zrp:53&)5
5F
APPLICA.iJT' 5 I\IA]'lE :
DEVELOPER:
PROJECT AD
SUBDI\[S1O N:
PROPERTV O NER'S
OI^INER's ADDRESS;
NAt4 E:
cITYi
CONTRACTORi LIC
NE CONSTfiUcT]oN. B,TNTCT NEI,.I RE5IDENCE o. f] n.oorrrol'I To SIsTING RESIDENCE
Ol// flLL THAT APPLY TO YOUR PROJECT:
E ACCOUNT I}:
A-DD REsS:CITY:
E}IAIL ADDRESS:PHONE #:
PHONE #:PRO]ECT CONTACT PERsON:
E{ISTIt'}6 CoNSTRUCrIoNr A LTEPA'I-ION ! RrLlovarrou f] carrnal nerarns I RELocArroN
$+PLEASE CHECI( {NE {.llstriER BEL
[f en onnnor 4*A t,! orr eanaar sr fifnoncl 43'l to
POO L
DECK
5UNR0q'1 _SF
6REENHq]5E 5F OTIER:
rorAL HEATED tqiTrlal')* rorAl sQ FT UNDER noor,3Q53 rorAl AREA sQ Fr:
TOTAL PROIECT COsT(L"otoo : $# OF STORIE5:
Is Any ELECTRfCAL, PLUHBI c or tiEcHANIcAI tlork Beii18 Done to the Accessory structure? Ef,.Yes lJo
ff the pnoject is a RelJcation, is there a Natunal. 6as Line on the current site]Yes fl ruo
fs there Electnical Pqwer on this Building? I]]tr Yes No
5IN6LE FAI'1]LY I ouerrx . f] ror,tr,rousr Zgl.l0'J 17 I r4lPflPROPERry USE / OCCUPANCYi
DESCRIPTTON OF I,IORK; :
1pl Itt.1({,J
I
olscLAlMEFu lhffibY
and oldhand ed llo
60nt-&br Inirflnai-on,'
coodywlh tls sEb EUlJdhg 9od6 and aU o h6r applcabla shb lnd b€l J, E
yEhBngsEh fis appovEd plans and F€cll5cadonEord)ang6 h dntrEcbr or
Voladon of$s NC SbE Bld!End $bl€Et b FInB 6 Q To 9500.00-
OI{NER/CONIRACTOR:ru prer,nrrnr,
*++++*+++++++i+*+*********JIfil{ii?*+**+*++r***+++i*++++r++*++*+********++++{*++*+++++**
r5 THE PROPERry LOCATED IN A FLOODPLAIN?YES tl0
EXISTING TI4PERUIOUS AFEA:
---sQ
FT T0TAL ACRES DISTURBED:
NEl,t ftPERWoUS AREA: .- SQ FT EXTST LAIID DISTUNBING PERIfiTT:YE5 El ruo
I^]ATER:! couuururrv sYsrEM I PR]vATE wELL
sEl,lER: E E c6rrprr- sEPrrc E pRrvATE sEPTrc fl
iSE sE2AINTE, PER}IIIs PEqJINED FOR ELECTJ.IIECII' PLE6' GAS EqJIP'' PREF,A35 A TI6ERT5 1=J
PAY}IEMI HETHOD:.Aru E.rr.r (IAvABLE ro mc1 [ nrrl nrcotr 14C/nTSA I orscovrn
** * *+** *** **t+***{+******!*+***** **** ******** *+t*t+* **** *** *+ ** +++*'+* * * *+* +** *r** * +++:r:r+
ZONE:OFFICER:
(Fon oFFJcE usE ouy) TEWJED oATE 6{/!r/12
SFTBAC(S: F:_ LH: RH:_ B:_
.FPUA
CFPUA
CEI TRAL l.iELL
ccr't4ljNlly svsTEr"l
Approvaf:- cityi:- DATE r- FLOoD:
-
A
comie nt 1
cearq-\cz
_ BFE+2ft= _
N
PERI,IIT FEE: $
tta+A
)-VY ,_a-
i:.,1,.ffi
NEW HANOVER COUNTY BUILDIN6 PERMIT
AP PLICATIO N TY PE: RESIDENTIAL
PLEASE ANSWER AI,L QUESTIONS APPLICAOLTTO YOUR PBO]Ecr
''ProJact Responslblllty"
?otltstZ4-
1:5{o{o
APPLICANT'S NAME n Shea Dalet 111291'17
PBOJ EcTADDRESS: 202 Mercer Avo CllY: Wilrninalon z,PiAg19!--
SUBDlVlsloN: H5D40 tol Hr LOT 4 BLK 7 W MERCEB Bl
PROPERTY OWN€R,S NAME; B.iAN ShEiI PHONE l,r 919'441-3462
owNER's AoDnEsS; 202 Mercer Ave CITY:Wilminoton 2lPr 28403
coNTRAcToR: Brian Shoa
U Gree.lrouse (SrI- tr occk (SF) *---_-
ls the proposed work changlng the existi.g footprint? fl Yes X No
ToTAL sQ FT UNDER ROOF Vot ptoposed workl lleated f'J- unheated,
BI"D6 LICENSE i]N/A
sT: Ng-zrP: 28403AooRESs: ?92 Mercer Ave crTY:Wilminqton
E MAlt A0D RESSr Ulia!._slqA onl PHONE: 919-441-3462
PRO.,ECT cONTACT P€RsoNr grian Shol PHoNE: 919-441-3462
EXISTING CONSTRUCTION: L-l Alteratiol IR"nouation l-] Gereral nepaic
NtW CONSTRUCTION; E Erect New nesidence O Addition to Existing Rcildence ll Relocation
+*+PIEASE CHECI( AND ANSWER BETOW AI,I THAT APPTY TO YOUR PRO,ECI'*i
l-l Art 6ar.r8c {5F}
----
D oet Ga.a8e ISF}
-
fl Po.ch (sF)
fl Sunroonr (Sri) _[J fool (5F]D storagc Shed (5F) _
tl Othcr (5F)
roTAt PRor€cr Cosr (tes5 l-ot): s:&+l)Q!L-
l5 tl)e propo3ed work changin8 lhe nunrt,nr of bedrooms? ( Yes D t'to
ls aoy Electd(al, Plumblng or Moahtnlaal work beln8 done (o the Acccs!ory Struclure (Yes n No 2',.11(JV t7 2t221't1
lf rhe project is a Relocatlon, ls there a Natural Gai Line on the cur.erlt site? tl Yet X No
rs rherc Elecrrical Power on thls Buitding) IlYes D No
Property Uro/ O.cupancy y(slnelc tarnllv E DuplcxO Townhouse
Descriptlon of worki
Renovale kitchen. Move laundrv roonl Add bedroom. Add bathroon. Genoral updales and repalls.
nrtor,nat,on. "'NOIE: Any \!o.k perorded witl'o(t rho app.opriate pc.nrtswlllbe iovlol.lion o, t|€ NC Stlie 8ld8 Codc and subic.t to finot up lo SSm.OJ"'
Owner/Conlractorl
"Licensed Qtolilict"
?ot,a^t 5ue.a Signaturer
ts thc prope(y located in a lloodplain? l-J Yei ( No
Existing lmpervious Arcar --- Sq f I
Ncw lmpcrvlous Area: _-,.- Sq tt
wAT€nr fi CFPUA I comnrunity Systcm E Privat
PUA 0 Corrmunity Syster[ E Privat
officer: -ffi2 settra s(dE
Existlng tand DisturbinS P€rmil: fl Yes n No
e Well E Centrol Well D Aqua
e Septic f) CentralSeptic Ll Aqua
r,rrNAr*rrNA rur^il*
Tota,Acrcs Dlaturbed:
;::iLk
approuat, Qa c;tv:-lfh[oate
co,n,onr' -/nkrJ'o r,b|.I*i
Flood: (A) *- {v)--- (H)-,L - sre .z{,=
-
0iy lnspeclion Requreo, 91 0'?54rlm
Pe rmlt Fce: S
c\
NEW HANOVER COUNTY BUILDING PERMIT
AP PL|CATION TY PE RESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPI-ICABLE TO YOUR PROIECT
"Proiect Responsibility"
2ot1-Q-134
(office use)
APPLICANT's NAME: Brian Shea oate:11129117
PROTECT ADDRESS: 202 l\4ercer Ave CITY:Wilminqton ztP:28403
SUBDIVISION: H5D40 tOT f: LOT 4 BLK 7 W MERCER Bl
PROPERTY OWNER'S NAME:Brian Shea PHoNE f: 919-441-3462
oWNER'S ADDRESS: 202 Mercer Ave CITY: Wilminqton ztP:284O3
coNTRACToR: Brian Shea BLDG LICENSE f N/A
ADDRESS: 202 l\,4ercer Ave clTY: Wilminoton sT: NC ZIP:28403
EMAIL ADDRESS: briansheal 1 @omail.com PHoNE: 919-441-3462
PROTECT CONTACT PERSON: Brian Shea PHON E:919-441 -3462
EXISTING CONSTRUCTION: ! Alteration f Renovation E General Repairs
NEW CONSTRUCTION: E Erect New Residence E Addition to Existing Residence E Relocation
***PLEASE CHECl( AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJECT***
! Att Garage (SF)_
D Deck (SF)
f.J- unheated:
! Storage Shed (SF)_
tr Porch (SF)
tr Other (SF)
! Sunroom (Sf)
E Greenhouse (SF)_
ls the proposed work changing the existing footprint? ! Ves ( ruo
TOTAL SQ FT UNOER ROOF Uor proposed work) Heated;
TOTAL PROJECT COST (Less Lot): 5 o
ls the proposed work changing the number of bedrooms? (ves tr r,lo
ls any Electrical, Plumbing or Mechanical work being done io'the Accessory Structure X Yes E No
o
2'tltgv t7 2t22Pt1
lf the project isa Relocation, istherea NaturalGas Line on the current site? n Yes
ls there Electrical Power on this Building? FYes n No x"
Property Use/ Occup
Description of Work:
ancv:f Sinele Family ! Duplextr Townhouse
Renovate kitchen. L4ove laundry room. Add bedroom. Add bathroom. General uDdates and repairs.
DTSCLATMER: I hereby certi, that allthe information in this application is correct and all work will comply with th€ State Building Code and allother applicable State and local
laws and ordinances and regulations. The NHC Oevelopment Services Centerwiil be notified of anychanges in the approved plans and specifications or change in contractor
information. '+'NOTET Any work performed without the appropriate permits will be in violation of the NC Stete Sldg Code and subject to fines up to S500.0O"*
Owner/Contractor:Signature:
TotalAcres Disturbed
Existing Land Disturbing Permit: n Yes ! No
WATER:
SEWER:
F
{
CFPUA n Community System ! Private Well E Centralwell D Aqua
CFPUA n Communitv Svstem n Private Septic E CentralSeptic E Aqua
zone:
-
Officer:
-
Setbacks (F)
-
(tH)
-
(RH)
-
(B)
-Approval:
-
City:
-
Date:- Flood: (A)
-
(V)
-
(N)
-
BFE+2ft=
-
Comment:Permit Fee: S
,'5$:..,,'./../ L \.1).,
:t -E'; i--'jf,r*.1.m'
\.]qa B{
i1-40b
D Det Gara8e {SF)_
tr Pool (SF) _
"Licensed Quolifret" Print Norne
ls the property located in a floodplain? I ves ( frfo
Existing lmpervious Area:
-
Sq Ft
New lmpervious Area:
-
Sq tt
NEW HANOVER COUNTY BUILDING PERMIT
APPLICAIION IYPE: R ESIDENTTAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
2-en*11-144L7-38f9
APPLICATION
Number
(office Use)
APPLICANT'S NAME i Munqr r:r'e:;of North CaroIina, Inc
DEVELOPER: Munqo Homes oi NorLh Carollna, Inc
PROIECT ADDRESS: .le B,-: - , ,:.
SUBDIVISION: i.1a::r. ilni::
pROPERTY O[/'MR'S tlAIrtE: t:unqc Hcnes oi trcr!h Car:oIina, Inc
O{I{ER,,S ADDRESS: :i2l s.i.ief:eli.. R.ac CITY: c
CONTRACTOR: Munso Homes of North Carolina Inc
DATE: 1r :!:r-r-
CITY: .. :,:::: , :.:
PHONE # : 8 r r - .' : -- - 8 { : .1
ZIP: i8.1ll
ST: IC ZIP: 2r s02
sT: rr. zIP::.)12
PHoNE S:8a3-?21-812'l
PHONE #: a , ,r ,r-:'
RE LOCATION
SF
SF
LoT f: .1.
PHONE #: ,,-:." :;l-
ADDRESS: 2521 S.hreffelrn Road CITY: ;:::I
EI'IAIL ADDRESS: t,berrl!6r,runqc. ccm (TabaLha Berr /)
PROJECT CONTACT PERSON: Erad ril,,/ou (Droiec: mana qer )
EXISTING CONSTRUCTION:A LTERATION R ENOVATION GENERAL REPAIRS
NEW CONSTRUCTION:ERECT NEW RESIDENCE oT ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSWER BELOT^I ALL THAT APPLY TO YOUR PROIECTi
PORCH 1i8 SFATT GARAGE 1:3 SF
SUNROOM i:!SF
GR E ENHOUS E SF
TOTAL HEATED SQ
DET GARAGE SF
POOL SF STORAGE SHED
DECK SF OTHE R:
TOTAL SQ FT UNDER ROOF: 1552 TOTAL AREA SQ FT: r5ri:.FT: io21
DESCRIPTION OF WORK: I,le,^ Sin.rle Family Re:irlence
and ordinances and regulations Tho NHC Oevelopment S€rvices CenGr willbe notlied of any changes in lhe app@ved plafls atd specifications orchange in conlracbror
conractcr inbrmaljon "'NOTE:Any Work Performed W/O he Appopriate Permits willbe in Violatjon of lhe NC StaE gldg Code and Subrecl b Fines Up To s50O.O0...
OWNER/CONTRACTOR: :.r..lr.:-: H-r:res i,, r;::.eri:Le Lu Kathe.{[t1e/ Lu,t*,
* * i. * + * * i. * * * * * * * * * * * * * * * * + ,* * + ,t ,t ,t ,t * * * * * * * ,* + + + + + + + ,t )t * * * * * + * ,* + * * * * + )t ,t + + ,t * * * * * * * ,t + + )t + ,i ,t ,f ,* ,t * ,r *
IS THE PROPERTY LOCATED IN A FLOODPLAIN?I YEs E ro
EXISTING IMPERVIOUS AREA: .5Q FT
NEW IlvlP ERVIOUS AREA: ,-.!SQ FT EXIST LAND DISTURBING PERMIT: N YES T-I NO
CFPUA COMI,IUNITY SYSTE14 PRIVATE WELL CENTRAL WELLWATER:
SEWER:CFPUA ! celirur- sEprrc E pRrvATE sEprrc ! colrr.rururrv svsrrm
!*I* i! SEPARATE PERMITS REQUIRED FOR ELECT, I',IECH, PLBG, GAS EQUIP, PREFABS & INSERTS ***
PAYMENT METHOD:n CASH !CHECK (PAYABLE TO NHC)n MClVISA I orscovrnBILL ACCOUNT***++++***********,**i.**,i*xx,k*****,lr++*+***r(*****+++**,k****xx*++++***x**+*+**********,****)r
Approval:_ City:_ DATE:_ FLOOD: _
(FOR OFFICE U5E OI{LY) REVISED DATE O4l11/12
SETBACKS: F:_ LH:_ RH:_ B:_
BFE+2ft=
\-Nrlc 7ix"g
.- al - -.-.
/'.')'I.:.\.
i.ffi,
BLOCK *: iL-3
LICENSE #: ].!.. ACCOUNT #:
TOTAL PROIECT CoSTlressrog : $ 2s3s|i # OF STORIES:
Is Any ELECTRICAL, PLUIiIBING or MECHAT{rCAL Work Eeing Done to the Accessory Structure? [ Ves fl ruo
If the pnoject j.s a Relocation, is there a Natunal Gas Line on the Curnent Site? [ Ves [ ruo
Is there Electrical Power on this Euilding? l-l y"t l-l ruo
pRopERTy usE / occupANcv: I srrcle FAMTLY E DUPLEX E rowNHousE
TOTAL ACRES DISTURBED:
ZoNE : _ OF F ICE R: